| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.43 | $144.43 | $144.43 | |
Aetna
| Professional | $0.23 | $289.60 | $310.39 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Molina
| Professional | $30.00 | $30.00 | $45.00 |
Surgical Supply; Miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.43 | $144.43 | $144.43 | |
Aetna
| Professional | $0.23 | $289.60 | $310.39 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Molina
| Professional | $30.00 | $30.00 | $45.00 |